PESA #1 Questions and Answers
1. Walk into the exam room then set up, next: Knock
2. Knock and wait for entry, next: Hi how are you doing today? my name is Teresa De La Rosa, I
am first year FIU PA student and I'm going to be taking care of you today
3. Introduce yourself, next: May you please confirm your first and last name for me, and is
there anything else you'd like to be addressed by
4. Ask pt to confirm identity, next: Sanitize hands
5. Sanitize hands, next: Today I'm going to be performing a physical exam, is that okay with
you?
6. Ask for permission, next: Patient appears comfortable sitting on the examining table, in no
apparent cardiac or respiratory distress. Pt does not seem anxious or in pain
7. Pt appears comfortable...,next: Pt is well developed, well nourished, with appro- priate grooming
and hygiene
8. Pt appears well developed...next,: I'm going to ask you a few questions, to test your memory.
Where are we today, what year is it and what is your name. Pt is alert and attentive, oriented x3
9. Alert, attentive, oriented x3, next..: Patient makes appropriate eye contact, normal facial
expression, speech is normal, and no involuntary movements noted
10.After general assessment, next: Vital signs
11.How to start vital signs: Have you consumed any caffeine or nicotine in the past 30 mins
12.After asking ab nic/caffeine, next: I'm going to take your pulse, pulse (15 secs) x 4, pulse is
rhythmic and regular at 78 bpm
13.After pulse, next: I'm going to take your pulse another way, check rr for a full minute.
Respiratory rate is normal and rhythmic at 16 breaths per minute
14.After hr and rr, next: Blood pressure
15.How to start blood pressure,: State: if the blood pressure is abnormal I will take it in a
different position
16.After stating if Bp abnormal... next,: Palpate for radial pulse, inflate cuff until pulse
disappears, deflate
17.After you deflate cuff, next: Palpate for brachial pulse and place bell there
18.After you place bell on brachial pulse, next: State: I will now inflate the cuff 30 mm of
mercury above the estimate systolic pressure of 118 mm Hg
19.After stating above 30 mm Hg, next: Take bp and tell patient bp
20.After bp, next: Head and scalp
21.I will start head and scalp by: Asking have you had any head traumas or a history of
headaches?
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, PESA #1 Questions and Answers
22.After asking about headaches/head trauma, next?: Observe head shape Verbalize:
Normocephalic atraumatic
23.After normocephalic atraumatic, next...: Inspect and palpate the scalp. Ver- balize: I am
checking for any areas of hair loss, rashes, lumps/bumps. Normal scalp
24.After verbalizing normal scalp: Verbalize: normal hair texture and distribution, no rashes,
lesions, or alopecia
25.After head and hair, next: I will move onto the skin
26.To start skin I will: Inspect and verbalize, skin of the torso and upper extremities appear well
perfused with no pallor or cyanosis
27.After verbalizing appearance of torso and UE, next: Verbalize: I will check the skin of the
anterior and posterior chest when examining respiratory.
28.After assessing torso and UE, next...: Palpate for temp on arms and forearms with back of
hands. Verbalize: normal skin temperature
29.After checking for skin temperature, next: Palpate for skin texture with finger- tips on anterior
and posterior arms and forearms. Verbalize: normal skin texture
30.After skin texture, next: Pinch and release dorsal forearm. Verbalize: normal skin turgor
31.After checking skin turgor, next: Inspect fingernails. Verbalize: normal shape, cyanosis, no
lesions
32.After observing fingernails, next: Inspect interdigital spaces. Verbalize: no skin breakdown
or lesions in the interdigital space
33.After observing interdigital space, next: Observe palm of hand, verbalize: palms of the
hands appear normal with no jaundice, cyanosis, or pallor
34.After observing palms, next: Observe lower extremities, verbalize: lower ex- tremities appear
well profuse with no cyanosis or pallor, no rashes, nevi, cysts, scars, or patches
35.After examine LE, next: Palpate for temp on feet, shins, above knees verbalize: normal skin
temperature
36.After checking skin temperature, next: Check for pitting edema medial malle- olus, feet, shins.
Verbalize: I will check for pitting edema distally, if any edema I will move proximally
37.After checking for edema, next: Check interdigital spaces. Verbalize no skin breakdown or
lesions
38.After check interdigital spaces, next: Check soles of feet, Verbalize: soles appear normal
with no jaundice or lesions
39.After checking soles of feet, next: Wash hands
40.After washing hand, next: Now I'm going to check the muscles of your face
41.First step of check face muscle: Clench teeth, while palpating temple and mandible,
move jaw against resistance, side to side and open
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5
1. Walk into the exam room then set up, next: Knock
2. Knock and wait for entry, next: Hi how are you doing today? my name is Teresa De La Rosa, I
am first year FIU PA student and I'm going to be taking care of you today
3. Introduce yourself, next: May you please confirm your first and last name for me, and is
there anything else you'd like to be addressed by
4. Ask pt to confirm identity, next: Sanitize hands
5. Sanitize hands, next: Today I'm going to be performing a physical exam, is that okay with
you?
6. Ask for permission, next: Patient appears comfortable sitting on the examining table, in no
apparent cardiac or respiratory distress. Pt does not seem anxious or in pain
7. Pt appears comfortable...,next: Pt is well developed, well nourished, with appro- priate grooming
and hygiene
8. Pt appears well developed...next,: I'm going to ask you a few questions, to test your memory.
Where are we today, what year is it and what is your name. Pt is alert and attentive, oriented x3
9. Alert, attentive, oriented x3, next..: Patient makes appropriate eye contact, normal facial
expression, speech is normal, and no involuntary movements noted
10.After general assessment, next: Vital signs
11.How to start vital signs: Have you consumed any caffeine or nicotine in the past 30 mins
12.After asking ab nic/caffeine, next: I'm going to take your pulse, pulse (15 secs) x 4, pulse is
rhythmic and regular at 78 bpm
13.After pulse, next: I'm going to take your pulse another way, check rr for a full minute.
Respiratory rate is normal and rhythmic at 16 breaths per minute
14.After hr and rr, next: Blood pressure
15.How to start blood pressure,: State: if the blood pressure is abnormal I will take it in a
different position
16.After stating if Bp abnormal... next,: Palpate for radial pulse, inflate cuff until pulse
disappears, deflate
17.After you deflate cuff, next: Palpate for brachial pulse and place bell there
18.After you place bell on brachial pulse, next: State: I will now inflate the cuff 30 mm of
mercury above the estimate systolic pressure of 118 mm Hg
19.After stating above 30 mm Hg, next: Take bp and tell patient bp
20.After bp, next: Head and scalp
21.I will start head and scalp by: Asking have you had any head traumas or a history of
headaches?
1/
5
, PESA #1 Questions and Answers
22.After asking about headaches/head trauma, next?: Observe head shape Verbalize:
Normocephalic atraumatic
23.After normocephalic atraumatic, next...: Inspect and palpate the scalp. Ver- balize: I am
checking for any areas of hair loss, rashes, lumps/bumps. Normal scalp
24.After verbalizing normal scalp: Verbalize: normal hair texture and distribution, no rashes,
lesions, or alopecia
25.After head and hair, next: I will move onto the skin
26.To start skin I will: Inspect and verbalize, skin of the torso and upper extremities appear well
perfused with no pallor or cyanosis
27.After verbalizing appearance of torso and UE, next: Verbalize: I will check the skin of the
anterior and posterior chest when examining respiratory.
28.After assessing torso and UE, next...: Palpate for temp on arms and forearms with back of
hands. Verbalize: normal skin temperature
29.After checking for skin temperature, next: Palpate for skin texture with finger- tips on anterior
and posterior arms and forearms. Verbalize: normal skin texture
30.After skin texture, next: Pinch and release dorsal forearm. Verbalize: normal skin turgor
31.After checking skin turgor, next: Inspect fingernails. Verbalize: normal shape, cyanosis, no
lesions
32.After observing fingernails, next: Inspect interdigital spaces. Verbalize: no skin breakdown
or lesions in the interdigital space
33.After observing interdigital space, next: Observe palm of hand, verbalize: palms of the
hands appear normal with no jaundice, cyanosis, or pallor
34.After observing palms, next: Observe lower extremities, verbalize: lower ex- tremities appear
well profuse with no cyanosis or pallor, no rashes, nevi, cysts, scars, or patches
35.After examine LE, next: Palpate for temp on feet, shins, above knees verbalize: normal skin
temperature
36.After checking skin temperature, next: Check for pitting edema medial malle- olus, feet, shins.
Verbalize: I will check for pitting edema distally, if any edema I will move proximally
37.After checking for edema, next: Check interdigital spaces. Verbalize no skin breakdown or
lesions
38.After check interdigital spaces, next: Check soles of feet, Verbalize: soles appear normal
with no jaundice or lesions
39.After checking soles of feet, next: Wash hands
40.After washing hand, next: Now I'm going to check the muscles of your face
41.First step of check face muscle: Clench teeth, while palpating temple and mandible,
move jaw against resistance, side to side and open
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